A comparison of pre- and post-clinical simulation anxiety levels of undergraduate medical students before and during the COVID-19 pandemic: A prospective cohort study

The aim of the present study was to compare the anxiety of undergraduate medical students who were conducting clinical simulation (CS) prepandemic, during the pandemic, and postvaccination. The participants carried out an emergency simulation in a high-fidelity clinical skills laboratory. A prospect...

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Autores: Martín Sánchez, Rafael, Sanz García, Ancor, Díaz González, Samantha, Castro Villamor, Miguel Angel, Sáez Belloso, Silvia, Rabanales Sotos, Joseba Aingerun, Pinilla Arribas, Leyre Teresa, Gonzalez Izquierdo, Pablo, de Santos Sánchez, Sara, Martín Rodríguez, Francisco
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:ruidera.uclm.es:10578/48018
Acceso en línea:https://doi.org/10.3390/bs15040447
https://hdl.handle.net/10578/48018
Access Level:acceso abierto
Palabra clave:Anxiety
COVID19 pandemic
High-fidelity clinical simulation
Undergraduate students
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spelling A comparison of pre- and post-clinical simulation anxiety levels of undergraduate medical students before and during the COVID-19 pandemic: A prospective cohort studyMartín Sánchez, RafaelSanz García, AncorDíaz González, SamanthaCastro Villamor, Miguel AngelSáez Belloso, SilviaRabanales Sotos, Joseba AingerunPinilla Arribas, Leyre TeresaGonzalez Izquierdo, Pablode Santos Sánchez, SaraMartín Rodríguez, FranciscoAnxietyCOVID19 pandemicHigh-fidelity clinical simulationUndergraduate studentsThe aim of the present study was to compare the anxiety of undergraduate medical students who were conducting clinical simulation (CS) prepandemic, during the pandemic, and postvaccination. The participants carried out an emergency simulation in a high-fidelity clinical skills laboratory. A prospective, simulation-based clinical cohort study of sixth-year undergraduate medical students was performed over three time periods: from 1 January to 15 April 2019; from 28 September to 18 December 2020; and from 11 Mayto 18 May2022. The primary outcome was anxiety level (pre- and postsimulation) measured withthe STAItest. Data on student demographics and baseline vital signs (before CS) were collected. A total of 373 students were ultimately included. A total of 40.2% of the cases were prepandemic (150 cases), 20.4% were pandemic (76 cases), and 39.4% were postvaccination (147 cases). The study period had a statistically significant effect on anxiety. There was a statistically significant increase in the incidence of anxiety during the pandemic time period compared with that during the prepandemic and postvaccination periods; no difference was found between the prepandemic and postvaccination periods. Performing CS in biohazardous environments significantly increases anxiety levels, so establishing mitigating measures to minimize the undesired effects of anxiety and promote the simulation-based learning process is necessary. The study was carried out at a single university; in future studies, it is necessary to carry out multicenter investigations to confirm the results.MDPI202620262025info:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://doi.org/10.3390/bs15040447https://hdl.handle.net/10578/48018reponame:RUIdeRA. Repositorio Institucional de la UCLMinstname:Universidad de Castilla-La ManchaInglésPID_03CNDE2022info:eu-repo/semantics/openAccessoai:ruidera.uclm.es:10578/480182026-05-27T07:36:41Z
dc.title.none.fl_str_mv A comparison of pre- and post-clinical simulation anxiety levels of undergraduate medical students before and during the COVID-19 pandemic: A prospective cohort study
title A comparison of pre- and post-clinical simulation anxiety levels of undergraduate medical students before and during the COVID-19 pandemic: A prospective cohort study
spellingShingle A comparison of pre- and post-clinical simulation anxiety levels of undergraduate medical students before and during the COVID-19 pandemic: A prospective cohort study
Martín Sánchez, Rafael
Anxiety
COVID19 pandemic
High-fidelity clinical simulation
Undergraduate students
title_short A comparison of pre- and post-clinical simulation anxiety levels of undergraduate medical students before and during the COVID-19 pandemic: A prospective cohort study
title_full A comparison of pre- and post-clinical simulation anxiety levels of undergraduate medical students before and during the COVID-19 pandemic: A prospective cohort study
title_fullStr A comparison of pre- and post-clinical simulation anxiety levels of undergraduate medical students before and during the COVID-19 pandemic: A prospective cohort study
title_full_unstemmed A comparison of pre- and post-clinical simulation anxiety levels of undergraduate medical students before and during the COVID-19 pandemic: A prospective cohort study
title_sort A comparison of pre- and post-clinical simulation anxiety levels of undergraduate medical students before and during the COVID-19 pandemic: A prospective cohort study
dc.creator.none.fl_str_mv Martín Sánchez, Rafael
Sanz García, Ancor
Díaz González, Samantha
Castro Villamor, Miguel Angel
Sáez Belloso, Silvia
Rabanales Sotos, Joseba Aingerun
Pinilla Arribas, Leyre Teresa
Gonzalez Izquierdo, Pablo
de Santos Sánchez, Sara
Martín Rodríguez, Francisco
author Martín Sánchez, Rafael
author_facet Martín Sánchez, Rafael
Sanz García, Ancor
Díaz González, Samantha
Castro Villamor, Miguel Angel
Sáez Belloso, Silvia
Rabanales Sotos, Joseba Aingerun
Pinilla Arribas, Leyre Teresa
Gonzalez Izquierdo, Pablo
de Santos Sánchez, Sara
Martín Rodríguez, Francisco
author_role author
author2 Sanz García, Ancor
Díaz González, Samantha
Castro Villamor, Miguel Angel
Sáez Belloso, Silvia
Rabanales Sotos, Joseba Aingerun
Pinilla Arribas, Leyre Teresa
Gonzalez Izquierdo, Pablo
de Santos Sánchez, Sara
Martín Rodríguez, Francisco
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Anxiety
COVID19 pandemic
High-fidelity clinical simulation
Undergraduate students
topic Anxiety
COVID19 pandemic
High-fidelity clinical simulation
Undergraduate students
description The aim of the present study was to compare the anxiety of undergraduate medical students who were conducting clinical simulation (CS) prepandemic, during the pandemic, and postvaccination. The participants carried out an emergency simulation in a high-fidelity clinical skills laboratory. A prospective, simulation-based clinical cohort study of sixth-year undergraduate medical students was performed over three time periods: from 1 January to 15 April 2019; from 28 September to 18 December 2020; and from 11 Mayto 18 May2022. The primary outcome was anxiety level (pre- and postsimulation) measured withthe STAItest. Data on student demographics and baseline vital signs (before CS) were collected. A total of 373 students were ultimately included. A total of 40.2% of the cases were prepandemic (150 cases), 20.4% were pandemic (76 cases), and 39.4% were postvaccination (147 cases). The study period had a statistically significant effect on anxiety. There was a statistically significant increase in the incidence of anxiety during the pandemic time period compared with that during the prepandemic and postvaccination periods; no difference was found between the prepandemic and postvaccination periods. Performing CS in biohazardous environments significantly increases anxiety levels, so establishing mitigating measures to minimize the undesired effects of anxiety and promote the simulation-based learning process is necessary. The study was carried out at a single university; in future studies, it is necessary to carry out multicenter investigations to confirm the results.
publishDate 2025
dc.date.none.fl_str_mv 2025
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://doi.org/10.3390/bs15040447
https://hdl.handle.net/10578/48018
url https://doi.org/10.3390/bs15040447
https://hdl.handle.net/10578/48018
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv PID_03CNDE2022
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:RUIdeRA. Repositorio Institucional de la UCLM
instname:Universidad de Castilla-La Mancha
instname_str Universidad de Castilla-La Mancha
reponame_str RUIdeRA. Repositorio Institucional de la UCLM
collection RUIdeRA. Repositorio Institucional de la UCLM
repository.name.fl_str_mv
repository.mail.fl_str_mv
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